医学临床研究
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医学临床研究  2020, Vol. 37 Issue (3): 422-424    DOI: 10.3969/j.issn.1671-7171.2020.03.030
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EnCor手术治疗乳腺脓肿患者的临床疗效及对ICAM-1水平的影响
任辉
沈阳医学院附属中心医院普外科,辽宁 沈阳 110024
Clinical Effect of EnCor Operation on Mammary Abscess and its Effect on ICAM-1 Level
REN Hui
Central Hospital Affillated to Shenyang Medical College,Shenyang 110024
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摘要 【目的】探讨安珂(EnCor)手术治疗乳腺脓肿的临床疗效及对细胞黏附分子1(ICAM-1)水平的影响。【方法】回顾性分析2017年1月至2018年6本院乳腺外科收治的120例乳腺脓肿患者的临床资料,根据手术方法分为观察组(行EnCor微创手术治疗,n=86)与对照组(常规切开引流治疗,n=34)。比较两组患者临床治疗效果、乳腺美容效果和手术前后血清ICAM-1、肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)水平以及并发症发生情况。【结果】观察组手术时间、切口愈合时间均明显短于对照组,术后有效率高于对照组,术后复发率及VAS评分显著低于对照组,差异均有统计学意义(均P<0.05)。观察组美容优良率为88.37%(76/86)高于对照组的73.53%(25/34),差异有统计学意义(P<0.05)。术后7 d,两组患者血清ICAM-1、TNF-α、IL-1β水平均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为3.49%(3/86)低于对照组的14.71%(5/34),差异有统计学意义(χ2=5.3707,P=0.0417)。【结论】EnCor手术具有创伤小、术后治愈时间短、治愈率高、美容效果好的优势。
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任辉
关键词 乳腺疾病/外科学脓肿/外科学细胞黏附分子    
Abstract:【Objective】To investigate the clinical effect of EnCor in the treatment of mammary abscess and the effect on the level of ICAM-1.【Methods】The clinical data of 120 patients with breast abscess admitted to our hospital from January 2017 to June 2018 were analyzed retrospectively. According to the operation methods, they were divided into observation group (EnCor minimally invasive surgery, n=86) and control group (conventional incision and drainage, n=34). The results of clinical treatment, breast cosmetology, serum ICAM-1, TNF - α, IL-1 β and complications were compared between the two groups.【Results】The operation time and incision healing time of the observation group were significantly shorter than those of the control group, the postoperative effective rate was higher than that of the control group, the postoperative recurrence rate and VAS score were significantly lower than that of the control group, the difference was statistically significant (P<0.05). The excellent rate of the observation group was 88.37% (76 / 86) higher than that of the control group (73.53% (25 / 34), the difference was statistically significant (P<0.05). On the 7th day after operation, the serum levels of ICAM-1, TNF -αand IL-1βin the two groups were lower than those before operation, and the difference between the observation group and the control group was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was 3.49% (3 / 86) lower than that in the control group (14.71%) (5 / 34), the difference was statistically significant (χ2=5.3707,P=0.0417). 【Conclusion】EnCor has the advantages of small trauma, short postoperative healing time, high healing rate and good cosmetic effect.
Key wordsBreast Diseases/SU    Abscess/SU    Cell Adhesion Molecules
收稿日期: 2019-06-06     
PACS:  R71  
引用本文:   
任辉. EnCor手术治疗乳腺脓肿患者的临床疗效及对ICAM-1水平的影响[J]. 医学临床研究, 2020, 37(3): 422-424.
REN Hui. Clinical Effect of EnCor Operation on Mammary Abscess and its Effect on ICAM-1 Level. JOURNAL OF CLINICAL RESEARCH, 2020, 37(3): 422-424.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.03.030     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I3/422
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